Brief Answer:
Hi , need you to answer a few questions.

Detailed Answer:
Hi,

Thanks for writing to Health care Magic,

I am Dr Muhammad Ahmad , Resident M.D.

I have read your question and will try to come up with a comprehensive answer to it, I would like you to answer a few questions of mine which i feld deficient in your description.

1) When was the first time these symptoms started?

2) Did the incidence increase with time?

3) Is there any specific allergic substance related to it?

4) Is there any fever?

5) Did the doctor do your respiratory function test if chest CT scan?

6) Is there any specific thing which improves your symptoms a bit?

7) Do you have ANY other medical issues?

8) Does your breathlessness worsen if you lie down flat ?

i am waiting for your input.

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Brief Answer:
Some other possibilities are there.

Detailed Answer:
Hi,

Thanks for writing back,

Your answers were really helpful.

Here i would come up with close possibilities it might help you making a discussion with your Pulmonologist.

Any doctor would most probably go for allergy treatment with your symptoms and history of allergies, but as you have told me antihistamines and steroids didn't really work, now a doctor can go for two things

A) Go with heavy duty anti allergy meds like more steroid dose, mast cell stabilizers and etc

B) Consider it an infection and suggest antibiotics.

Now in your case you have used antibiotics as well though pneumonia didn't seem to be a close possibility because you didn't have any fever but still your doctors didn't take chance and gave you antibiotics which didn't work.

Now after that most common cause is heart but as you don't have shortness of breath with no real change on lying down it almost rules out heart being the cause.

So now a doctor will consider checking for less common diagnoses which are refractory to drugs and are concerns for a doctor,

these are structural / parenchymal lung issues for this your pulmonary function tests (PFT'S) and CT scan should be done this will tell if there is any fibrosis or other structural disease in the lungs, a doctor after CT scan might wanna do a biopsy of lungs, as you happen to have arthritis too so in autoimmune settings this cause should be ruled out. Specially if symptoms are gradually getting worse one has to think about parenchymal issues.

You might wanna discuss all these possibilities with your pulmonologist. Because fibrosis is a serious issue i hope this isn't there in your case but if it's there it can be dealt with , as early as possible.


Hope this answers your question. If you have additional questions or follow
up questions then please do not hesitate in writing to us.
Wishing you good health

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